Pavlick, Patricia D.

Pavlick, Patricia D. is an individual health care provider with primary practice located at 123 Conhocton St , Corning NY 14830-2911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pavlick, Patricia D. can be contacted via phone (607) 962-5402.

Contact Information

Primary practice address
123 Conhocton St Corning NY 14830-2911
Phone: (607) 962-5402
Fax: (607) 962-1502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F333802 New York

Profile Details

NPI number 1730153735
LBN Legal business name Pavlick, Patricia D.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 15th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730153735 NPPES
New York Other CC8362 RR MEDICARE GROUP
New York Other P00387773 RR MEDICARE GROUP
New York MEDICAID 02679270 RR MEDICARE GROUP

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